Smith Eye Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002729 Issued in GA

Legal business name

SMITH EYE ASSOCIATES, LLC

Doing business as

Eyexam of Peachtree City

Practice address

407 City Cir
Suite 1600
Peachtree City, GA 30269-3125

Phone

(770) 487-8013

Fax

(770) 487-8365

NPI assigned

Oct 30, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bobby Darrell Smith II, O.D.

Title

Owner/Optometrist

Phone

(770) 487-8013

Specialties & licenses 1

Addresses

Other names 1

• Eyexam of Peachtree City Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1063817229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CITY CIR",
            "address_2": "SUITE 1600",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693125",
            "telephone_number": "770-487-8013",
            "fax_number": "770-487-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CITY CIR",
            "address_2": "SUITE 1600",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693125",
            "telephone_number": "770-487-8013",
            "fax_number": "770-487-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "770-487-8013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyexam of Peachtree City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sofia Elizabeth Siraj, CRC, APC, NCC
• Elizabeth Ann Sisselman, RD, LDN
• Skye Medical Solutions Group
• Skyeview Dental, LLC
• Solanne Small, APRN
• Beverly Smith Moore, PHD, LPC, CCMHC
• Jody Smith
• Sandra Smith
• Titus Collin Smith, PT, DPT
• Victoria Anne Smith

• Optometrist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.